Chapter 1184: 【1184】Contact Internal Medicine Operation

   Chapter 1184 [1184] Contact with internal medicine operations

  The stethoscope is not unnecessary, it is not needed under normal circumstances. If there is something wrong with the heart and lung function of the patient, call the Cardiology Department and Cardiac Surgery directly for consultation. Hurry up and use the scalpel.

   Physicians are often equipped with stethoscopes. There is no way, it is also a clinical need. Surgery requires a quick fix. In the case of internal medicine, we have more time to take care of patients in the ward than in surgery, and we must take into account the overall physical and mental health of patients. Cardiopulmonary function is always right.

   The same difference is the white coat. The surgical white coat is dirtier than the medical one. On TV, the white coat is photographed as a handsome and beautiful windbreaker, but the purpose of the white coat is the chef's apron to prevent dirt from being spilled on the doctor's personal clothes.

   When Xie Wanying was practicing in surgery, she basically brought an extra piece to the department every day as a backup to prevent accidents. In internal medicine, it is estimated that such preparations are not needed.

   There are no wounds in the internal medicine department, no drainage fluid, and no blood spurting. The operation is like respiratory medicine, mainly prescribing medicine and writing medical records. Occasionally, like doing a bronchoscopy in the afternoon, a large hospital like the National Association is more particular. If the patient's condition is more serious, the doctor will directly wear a disposable surgical gown, which will not get dirty.

  Why don't you wear it for surgery? Wear it like a surgery, if necessary. However, there are usually many of the above-mentioned operations that involve dirty operations, wear and take off, waste time, increase the cost of patient treatment, and consumables such as disposable surgical gowns are all calculated on the patient's account.

  In the afternoon, Xin Yanjun brought Xie to the treatment room in the department.

  I was notified of the task, and a nurse was here early in the morning to do preoperative preparations.

  No, 3 newly admitted patients, a female patient in her fifties, was led to the treatment room by the ward nurse.

   We discussed it during the ward round this morning. The patient was diagnosed in the outpatient clinic, and he was suspected of having lung problems. He was admitted to the hospital for further examination. The patient had an x-ray that showed shadows in the lungs. A CT scan was performed and a lung abscess was suspected. This time after admission to the hospital, a fiberoptic bronchoscope will be added.

  Some people may have doubts, why do you need to do fiberoptic bronchoscopy again, if you don't have CT?

  ct is an indirect check. Unlike this kind of endoscope, which can directly grasp the human diseased tissue for pathology. Pathology is the gold standard for diagnosis. There are cases of this kind in clinical practice. CT examination is suspected to be benign, but it is found to be malignant after laparoscopy. If possible, a fiberoptic bronchoscopy must be done to exclude it.

   Moreover, some very early diseases cannot be seen by CT, but endoscopy such as fiberoptic bronchoscopy can be seen and found.

   Even if the lesions found by fiberoptic bronchoscopy are consistent with the CT results, non-malignant tumors, and if the disease is caused by pulmonary infection, the specimens can be grasped by fiberoptic bronchoscopy to analyze the infection, so as to guide accurate clinical medication and avoid the abuse of antibiotics. Fiberoptic bronchoscopy can even do perfusion drug lavage directly to tumors and infected lungs.

   Fiberoptic bronchoscopy has many applications.

For example, if a patient on a 21-bed ventilator is blocked with sputum, the sputum suction tube used by nurses to **** sputum is short and thick, and can only **** the secretions from the oral and nasal cavity and the upper half of the human trachea, and the lower half of the secretion can only use fiberoptic bronchoscopy. come to inhale.

  Here we always talk about fiberoptic bronchoscopy, what is fiberoptic bronchoscopy? Bronchoscopy is one of the most advanced bronchoscopes. Like choledochoscopy, bronchoscopy is divided into flexible tube and rigid tube. The hose is less harmful to the human body. Undoubtedly, the more advanced fiberoptic bronchoscope belongs to the hose and is expensive.

  So, the nurses who prepared the things took extra care of these expensive medical equipment. When they heard that Xin Yanjun was going to operate with the students who just arrived on the first day, he was a little worried.

   (end of this chapter)